Active NPI
Pegah Gheitani, RPA-C
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 014068
- Practice address
- 161 Fort Washington Ave FL 8
New York, NY 10032-3729 - Phone
- (212) 305-9468
- Fax
- (212) 304-4585
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 014068 | NY | Primary |
Addresses
Primary practice location
161 Fort Washington Ave FL 8
New York, NY 10032-3729
Mailing address
161 Fort Washington Ave FL 8
New York, NY 10032-3729
Phone (212) 305-9468
Other practice location 1
161 Fort Washington Ave Fl 8
New York, NY 10032-3729
Phone (212) 342-1734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
158 Hempstead Ave
Lynbrook, NY 11563-1605
Phone (516) 881-9560
372 Post Ave
Suite 106
Westbury, NY 11590-2201
Phone (516) 333-1444
514 Ocean Ave
Massapequa, NY 11758-4605
Phone (516) 799-4500
8212 151St Ave
Howard Beach, NY 11414-1793
Phone (718) 843-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Physician Assistant | Current | Accepting new patients |
| Nsuh Plainview Physicians Ufp Corporation | Past | Accepting new patients | |
| Bethpage Medical, PLLC | Past | Accepting new patients |
Locations
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
161 Fort Washington Ave
Fl 8
New York, NY 10032
Phone (212) 342-1155
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Westbury, NY
- NPI 1033468509
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Surgery Physician
- New York, NY
- NPI 1265598783
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Physician Assistant
-
- Obstetrics & Gynecology Physician
- Garden City, NY
- NPI 1205074739
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1508750332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525996800000",
"number": "1598079444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 FORT WASHINGTON AVE FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323729",
"telephone_number": "212-305-9468",
"fax_number": "212-304-5685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 FORT WASHINGTON AVE FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323729",
"telephone_number": "212-305-9468",
"fax_number": "212-304-4585"
}
],
"practiceLocations": [
{
"address_1": "161 Fort Washington Ave Fl 8",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100323729",
"country_code": "US",
"telephone_number": "212-342-1734",
"fax_number": "212-342-5754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHEITANI",
"first_name": "PEGAH",
"name_prefix": "Miss",
"credential": "RPA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2018-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.